004–Education Coordinator for Nursing Products: An Innovative Role to Improve Efficiency, Cost-effectiveness, and Patient Safety

2008 ◽  
Vol 23 (2) ◽  
pp. e10
Author(s):  
Carrie Gavriloff
2021 ◽  
Vol 12 (3) ◽  
pp. s085-s107
Author(s):  
Iryna Drozd ◽  
Mariia Pysmenna ◽  
Nataliia Pohribna ◽  
Nataliya Zdyrko ◽  
Anna Kulish

The article seeks describing the benefits and challenges faced by auditors in assessing the effectiveness of public procurement procedures in terms of applying the methodology for calculating efficiency, economy and effectiveness, taking into account the risks of procurement in e-auctions. Quantitative risk parameters are calculated using data of probabilistic indicators of procurement risk assessment according to the ratio of the number of relevant procedures (sub-threshold and above-threshold) to the total number of procurement procedures. Statistical valuation methods are used for the cost risk assessments and calculation of the aggregate risk indicator of public procurement. The calculations are performed using the data of the open e-procurement system ProZorro for all announced procurements in 2018-2019. We analyzed the methods, indicators and the extent to which the study of the public procurement effectiveness via bibliographic and case studies is performed. As a result, the majority of methods cover four components of assessing the public procurement efficiency - targeted efficiency, cost-effectiveness, organizational efficiency, efficiency of budget expenditures for public procurement. This does not provide an assessment of the automated systems’ impact on the procurement procedures results and on possible savings due to the use of certain procurement procedures. To comprehensively assess the procurement efficiency in e-bidding, the authors propose considering four key risks: the risk of cancellation of the procurement procedure, the risk that the procurement procedure will not take place, the risk of appealing the procurement, the risk of disqualification. As a result of risks calculations under the sub-threshold and above-threshold procurement, individual values of risks and their aggregate indicator are determined. This will adjust the scope of audit procedures to verify individual procurements and identify weaknesses in the procurement management system. We believe that the methodology of auditing the procurement effectiveness, taking into account the quantitative and qualitative parameters of procurement risks, will be a useful audit tool to determine the effectiveness of the use of public funds under individual procurements and identify areas of cost-effectiveness for the state budget funds.


2014 ◽  
Vol 679 ◽  
pp. 30-34 ◽  
Author(s):  
A.O. Aldhaibani ◽  
S.A. Aljunid ◽  
M.S. Anuar ◽  
A.R. Arief

In this paper, we describe the improved performance of the SAC-OCDMA system using OFDM technique compared to SCM/SAC-OCDMA system. The theoretical results of proposed system shows that the new SAC/OCDMA system with OFDM technique provides better performance compared to SCM/OCDMA system based on multi diagonal code (MD), and the results have been evaluated based on BER and number of users for bit rate 1Gb/s and 10 Gb/s . Thus this system could be a promising solution to symmetric high capacity access networks with high spectral efficiency, cost effectiveness, good flexibility and enhanced security, which is candidate for next generation networks.


2015 ◽  
Vol 22 (6) ◽  
pp. S96
Author(s):  
EF Robinson ◽  
LFB Harvey ◽  
EO Alabi ◽  
JB Ritch ◽  
RA Adam ◽  
...  

2005 ◽  
Vol 16 (1) ◽  
pp. 31-40
Author(s):  
Kian Chuan Chang ◽  
Mark Brian Debowski

In its early days, the international air express industry was synonymous with on-board couriers, carrying bags of documents on commercial flights. The industry has changed dramatically. That initial focus on documents has widened into the transport of packages and freight, carried by fleets of fully owned or dedicated aircraft, trucks, trains and delivery vans. The bulk of the business is dominated by 24-hour guaranteed and next-day deliveries. “Every day, hundreds of thousands of employees serve the distribution needs of an increasing number of businesses worldwide from one region to another” (European Express Association, 2002). The express companies are also making use of state-of-the-art information technology systems to provide minute-by-minute control and track and trace information. All the resources in the industry are dedicated to providing customers maximum reliability and flexibility of service. In this article, detailed information on major regulatory barriers in the air express industry are presented. Furthermore, recommendations on how to minimize the impact of these barriers in order to build a better future (with reference to operational efficiency, cost effectiveness and wider coverage of services to the final customers) are also discussed.


2014 ◽  
Vol 32 (30_suppl) ◽  
pp. 103-103
Author(s):  
Laura A. Doyle ◽  
Virginia L. Lockamy ◽  
Cheng Peng ◽  
Adam Dicker ◽  
Yan Yu ◽  
...  

103 Background: New technologies and procedures have the potential to improve outcomes; however, initial implementation is often associated with a steep learning curve, decreased efficiency, and patient safety implications. Since process mapping, checklists and external benchmarks have been proven to be useful quality improvement (QI) tools in health care, we sought to use these QI tools in a novel setting to decrease new procedure times without sacrificing the quality of care. Methods: Implementation of a real-time, ultrasound based prostate high-dose-rate brachytherapy procedure involved a multidisciplinary team composed of approximately 6-8 team members and numerous complex tasks. To characterize time spent on various aspects of the procedure and improve efficiency, our team developed a detailed process map including checklists and team debriefings. A benchmark was created based on an experienced institution which has performed >100 procedures annually. Times for key events, such as induction of general anesthesia, acquisition of first image, catheter insertion and completion of planning were recorded during each case. The process map was analyzed based on clinical tasks and treatment planning tasks. Results: The expert institution completed a procedure in 65 minutes. Over the course of ten cases at our institution, total procedure time ranged from 222-107 minutes. Implementation of the process map resulted in a reduction of total time by 52% (51% for clinical tasks and 65% for planning). Process improvements included changes to room layout, availability of supplies and identification of parallel processes. Improvement in efficiency was done without compromising quality as defined by dosimetric parameters. Conclusions: The implementation of a new procedure benefits from the integration and utilization of a process map. We were able to reduce procedure time significantly, which resulted in decreased time under general anesthesia, reduced risk of deep vein thrombosis and improved overall patient safety.


2016 ◽  
Vol 13 ◽  
pp. e28-e32 ◽  
Author(s):  
Jesús Manuel Morán López ◽  
María Piedra León ◽  
Belén Beneítez Moralejo ◽  
Fidel Jesús Enciso Izquierdo ◽  
Luis Miguel Luengo Pérez ◽  
...  

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